Individual
MS. KARLA ELIZABETH BOWMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
19965 FM 3175, LYTLE, TX 78052-3481
(210) 357-0395
(830) 709-5493
Mailing address
PO BOX 725, LYTLE, TX 78052-0725
(210) 357-0395
(830) 709-5493
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
109925
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
109925
PROFESSIONAL LICENSE
TX
Enumeration date
05/27/2009
Last updated
05/27/2009
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